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临床试验/2024-516356-18-00
2024-516356-18-00招募中3 期

A randomized, double-blind, placebo-controlled, multicenter study to evaluate the efficacy, safety, and tolerability of pelacarsen (TQJ230) with background inclisiran in participants with atherosclerotic cardiovascular disease, and elevated LDL-C and Lp(a)

Novartis Pharma AG45 个研究点 分布在 5 个国家目标入组 188 人开始时间: 2025年8月5日最近更新:

试验速览

阶段
3 期
状态
招募中
入组人数
188
试验地点
45
主要终点
Change in log-transformed Lp(a) concentration from baseline at Month 6

研究概览

简要总结

Evaluate the efficacy of pelacarsen compared to placebo, in reducing Lp(a) levels at Month 6 in ASCVD participants who have elevated Lp(a), and who are on background inclisiran for elevated LDL-C.

入排标准

年龄范围
18 years 至 65+ years(18-64 Years, 65+ Years)
接受健康志愿者

入选标准

  • Male and female participants 18 to ≤80 years of age at Screening visit
  • Established ASCVD, defined as documented coronary heart disease (CHD), cerebrovascular disease (CVD), or peripheral arterial disease (PAD) at Screening visit
  • On stable dose of local guideline recommended lipid lowering therapy for at least 30 days prior to Screening visit
  • Participants must successfully complete the run-in period of background inclisiran treatment in order to be randomized
  • On standard of care (SoC) treatment for other CVD risk factors including hypertension and diabetes for at least 30 days prior to Randomization/Baseline visit
  • Central laboratory reported Lp(a) ≥175 nmol/L at Screening visit
  • Central laboratory reported LDL-C >70 mg/dL (or >1.8 mmol/L) at Screening visit

排除标准

  • Prior treatment with inclisiran
  • Significant kidney disease at Screening visit
  • Pregnant or nursing women at Screening visit
  • Any uncontrolled chronic or serious medical condition which may pose an immediate risk to clinical stability of the study participant at Screening visit
  • Any other PCSK9 inhibitor (e.g., evolocumab, alirocumab) use within 4 months prior to Screening visit
  • Uncontrolled hypertension at Randomization/Baseline visit
  • Heart failure New York Heart Association (NYHA) class IV at Screening visit or at Randomization/Baseline visit (Day 1)
  • Triglycerides ≥400 mg/dL at Screening visit
  • History of malignancy of any organ system within the past 5 years
  • Myocardial infarction, stroke or other major bleeding, coronary or lower limb re-vascularization, major cardiac or non-cardiac surgery between Screening visit and Randomization/Baseline visit (Day 1)
  • Central laboratory reported platelet count <140,000 per mm3
  • Active liver disease or hepatic dysfunction at Screening visit

结局指标

主要结局

Change in log-transformed Lp(a) concentration from baseline at Month 6

Change in log-transformed Lp(a) concentration from baseline at Month 6

次要结局

  • Proportion of participants achieving Lp(a) levels <125 nmol/L at Month 6
  • Incidence of treatment emergent adverse events (TEAEs):
  • Incidence of treatment emergent serious adverse events (TESAEs)
  • Incidence of treatment emergent adverse events of special interest (AESI)
  • Incidence of study and treatment discontinuations due to TEAEs;
  • Observed value and change/shift from baseline in safety laboratory measures; • ECGs • Vital signs • Laboratory values (e.g. CBC, CMP, Liver Function Tests)

研究者

申办方类型
Pharmaceutical company
责任方
Principal Investigator
主要研究者

Novartis Pharma Arzneimittel GmbH

Scientific

Novartis Pharma AG

研究点 (45)

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